19-105921RECEIVED
UTY OF
Federal Way
DEC 20 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
COMMUNITY DEVELOPMENT 253-835-2607 + FAX 253-835-2609 + hei ,;i; , ir:•::+-nyolledertllwa _coil,
PERMIT NUMBER j — / O S 1 o� � _
TARGET DATE
SITE ADDRESS SUITE/UNIT #
31207 13th Ave S. Federal Way WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
$ -ODD-0 g.57 8 7 5 0 0- 0 0 6 5
TYPE OF PERMIT
BUILDING V PLUMBING V MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
Burch Remodel/Repairs
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
Repair structural damage related to tenant's unauthorized removal of a load bearing wall.
Replace existing window w/ sliding door AaalLnevv deck. Relocated washer and dryer from garage
to kitchen area and relocate vent. Repair drywall. Refinish flooring. Refinish bathroom.
be included on this permit only
NAME
PRIMARY PHONE
Katy Burch
425-444-8998
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
31527 41st Ave SW
CITY
STATE
ZIP
Federal Way
WE
_ 98003
NAME
PHONE
delin
MAILING ADDRESS
E-MAIL
CONTRACTOR
-M7677TMtSE
CITY STATE
_4019� WA
ZIP
-98992-M72
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
Linda Burch
425-444-8998
MAILING ADDRESS
1900 126th Ave SE
E-MAIL
linda0hot o ainc.com
APPLICANT
CITY
STATE
ZIP
FAX
Bellevue
Wa
98005
NAME
PRIMARY PHONE
PROJECT CONTACT
same as applicant
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
Katy Burch
OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
When value is $5, 000 or more
(RCW 19.27.095)
31527 41 st Ave SW Federal Way WA 98003
253-249-4545
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 -January 29, 2016 Page 1 of 2 k:\I-Tandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT Is /0 O
Indicate how many of each type of wture to be installed or relocated as parl of this prcject. Do not include existing rxtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
VALUE OF PLUMBING WORK
$ 50 O
Indicate how many of each type offixture to be installed or relocated as
part of this pngi4ni. Do not irwlude exisibig +xtures to remain.
BATHTUBS (or Tub/shower Combo) LAVS (Hand Sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/utility) WATER HEATERS (Electric) ,
HOSE BIBBS SUMPS —� WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ 30.000
EXISTING/PREVIOUS USE
Rental
LOT SIZE (In Square Feet)
10010
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes s/ No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes s/ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
1010
1010
1010
SECOND FLOOR
COVERED ENTRY
DECk
336
336
GARAGE ❑ CARPORT ❑
OTHER (describe)
...... _.._.......
_..__...__.............
Area Totals
EXISTING
1010
PROPOSED
336
TOTAL
1346
"NEW HOMES ONLY'"
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet _ Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
—
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application